We provide comprehensive treatment to spider veins and many vascular lesions.
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Please visit our Vein Care Center Website: www.lexingtonveincenter.com

What are varicose veins and spider veins?
Varicose veins are enlarged veins that can be blue, red, or flesh-colored. They often look like cords and appear twisted and bulging. They can be
swollen and raised above the surface of the skin. Varicose veins are often found on the thighs, backs of the calves, or the inside of the leg. During
pregnancy, varicose veins can form around the vagina and buttocks. Spider veins are like varicose veins but smaller. They also are closer to the
surface of the skin than varicose veins. Often, they are red or blue. They can look like tree branches or spiderwebs with their short, jagged lines. They
can be found on the legs and face and can cover either a very small or very large area of skin.

What causes varicose veins and spider veins?
Varicose veins can be caused by weak or damaged valves in the veins. The heart pumps blood filled with oxygen and nutrients to the whole body
through the arteries. Veins then carry the blood from the body back to the heart. As your leg muscles squeeze, they push blood back to the heart from
your lower body against the flow of gravity. Veins have valves that act as one-way flaps to prevent blood from flowing backwards as it moves up your
legs. If the valves become weak, blood can leak back into the veins and collect there. (This problem is called venous insufficiency.) When backed-up
blood makes the veins bigger, they can become varicose Spider veins can be caused by the backup of blood. They can also be caused by hormone
changes, exposure to the sun, and injuries.

What factors increase my risk of varicose veins and spider veins?
Many factors increase a person's chances of developing varicose or spider veins. These include:
•Increasing age. As you get older, the valves in your veins may weaken and not work as well.
•Medical history. Being born with weak vein valves increases your risk. Having family members with vein problems also increases your risk. About
half of all people who have varicose veins have a family member who has them too.
•Hormonal changes. These occur during puberty, pregnancy, and menopause. Taking birth control pills and other medicines containing estrogen
and progesterone also may contribute to the forming of varicose or spider veins.
•Pregnancy. During pregnancy, there is a huge increase in the amount of blood in the body. This can cause veins to enlarge. The growing uterus
also puts pressure on the veins. Varicose veins usually improve within 3 months after delivery. More varicose veins and spider veins usually appear
with each additional pregnancy.
•Obesity. Being overweight or obese can put extra pressure on your veins. This can lead to varicose veins.
•Lack of movement. Sitting or standing for a long time may force your veins to work harder to pump blood to your heart. This may be a bigger problem
if you sit with your legs bent or crossed.
•Sun exposure. This can cause spider veins on the cheeks or nose of a fair-skinned person.

Why do varicose veins and spider veins usually appear in the legs?
Most varicose and spider veins appear in the legs due to the pressure of body weight, force of gravity, and task of carrying blood from the bottom of
the body up to the heart. Compared with other veins in the body, leg veins have the toughest job of carrying blood back to the heart. They endure the
most pressure. This pressure can be stronger than the one-way valves in the veins.

What are the signs of varicose veins?
Varicose veins can often be seen on the skin. Some other common symptoms of varicose veins in the legs include:
•Aching pain that may get worse after sitting or standing for a long time
•Throbbing or cramping
•Heaviness
•Swelling
•Rash that’s itchy or irritated
•Darkening of the skin (in severe cases)
•Restless legs

How are varicose and spider veins treated?

Compression stockings. Compression stockings put helpful pressure on your veins.

Sclerotherapy
Sclerotherapy is the most common treatment for both spider veins and varicose veins. The doctor uses a needle to inject a liquid chemical into the
vein. The chemical causes the vein walls to swell, stick together, and seal shut. This stops the flow of blood, and the vein turns into scar tissue. In a
few weeks, the vein should fade. This treatment does not require anesthesia and can be done in your doctor's office. You can return to normal activity
right after treatment. The same vein may need to be treated more than once. Treatments are usually done every 4 to 6 weeks. You may be asked to
wear gradient compression stockings after sclerotherapy to help with healing and decrease swelling. This treatment is very effective when done
correctly.
Possible side effects include:
•Stinging, red and raised patches of skin, or bruises where the injection was made. These usually go away shortly after treatment.
•Spots, brown lines, or groups of fine red blood vessels around the treated vein. These also usually go away shortly after treatment.
•Lumps of blood that get trapped in vein and cause inflammation. This is not dangerous. You can relieve swelling by applying heat and taking
aspirin. Your doctor can drain the trapped blood with a small pinprick at a follow-up visit.

Surface laser treatments
Laser treatments can effectively treat spider veins and smaller varicose veins. This technique sends very strong bursts of light through the skin onto
the vein. This makes the vein slowly fade and disappear. Not all skin types and colors can be safely treated with lasers.
No needles or incisions are used, but the heat from the laser can be quite painful. Cooling helps reduce the pain. Laser treatments last for 15 to 20
minutes. Generally, 2 to 5 treatments are needed to remove spider veins in the legs. Laser therapy usually isn’t effective for varicose veins larger
than 3 mm (about a tenth of an inch). You can return to normal activity right after treatment.
Possible side effects of lasers include:
•Redness or swelling of the skin right after the treatment that disappears within a few days
•Discolored skin that will disappear within 1 to 2 months
•Burns and scars from poorly performed laser surgery, though this is rare

Endovenous techniques (radiofrequency and laser)
These methods for treating the deeper veins of the legs, called the saphenous veins, have replaced surgery for most patients with severe varicose
veins. These techniques can be done in a doctor’s office. The doctor puts a very small tube, called a catheter, into the vein. A small probe is placed
through the tube. A device at the tip of the probe heats up the inside of the vein and closes it off. The device can use radiofrequency or laser energy to
seal the vein. The procedure can be done using just local anesthesia. You might have slight bruising after treatment. Healthy veins around the
closed vein take over the normal flow of blood. The symptoms from the varicose vein improve. Usually, veins on the surface of the skin that are
connected to the treated varicose vein will also shrink after treatment. If they don’t, these connected veins can be treated with sclerotherapy or other
techniques.

Surgery
Surgery is used mostly to treat very large varicose veins. Types of surgery for varicose veins include:Surgical ligation and stripping.
859-554-0519
Cosmetic Solutions Med Spa located in Lexington Kentucky provides the best and most complete skin rejuvenation options. Botox, Juvederm,Photofacials, laser hair removal, acne treatment, fractional skin resurfacing, Skin tightning, laser body contouring, lipolysis, cellulite treatment, microdermabrasion, and medical products like Obagi, Neocutis, and Skin Ceuticals are a fraction of what can offer. Call 859-554-0519 for your free consultation or visit www.lexmedspa.com
3229 Summit Square Place, Suite 240
Lexington
Kentucky
40509
USA